ArticleJournal of pain research2018
Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management.
Article in Journal of pain research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Anatomical consideration for botulinum toxin injection of the frontalis muscle based on analysis of intramuscular innervation.Scientific reports · 2025Article
- Sihler's staining of the anterior belly of digastric muscle for botulinum toxin injection.Surgical and radiologic anatomy : SRA · 2024Article
- An anatomical analysis of the occipital nerve complex: an essential tool for the application of occipital nerve blocks.BMC neurology · 2024Article
- 3D anatomy of the supraorbital and greater occipital nerve trajectories.Surgical and radiologic anatomy : SRA · 2024Article
- Morphological features of the greater occipital nerve and its possible importance for interventional procedures.Journal of anatomy · 2024Article
- Literature Review: Pericranial Nerve Blocks for Chronic Migraines.Health psychology research · 2023Article
- Fusion of the Greater and Suboccipital Nerves: A Case Report With Application to Patients With Occipital Neuralgia.Cureus · 2022Article
- Magnetic resonance neurography of the head and neck: state of the art, anatomy, pathology and future perspectives.The British journal of radiology · 2021Review
- Visualization of the greater and lesser occipital nerves on three-dimensional double-echo steady-state with water excitation sequence.Japanese journal of radiology · 2020Article
- Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction.PloS one · 2019Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEstablishing the distribution patterns of occipital cutaneous nerves may help us understand their contribution to various occipital pain patterns and ensure that a proper local injection method for treatment is employed. The aim of this study was to demonstrate the detailed distribution patterns of the greater occipital nerve (GON), lesser occipital nerve (LON), and third occipital nerve (TON) using the modified Sihler's staining technique.
methodsTen human cadavers were manually dissected to determine the nerve distributions. Specimens from eight human cadavers were treated using the modified Sihler's staining.
resultsIn all cases, distinct GON branches proceeded laterally and were intensively distributed in the superolateral area from their emerging point. Very thin twigs were observed at the middle-trisected area, which had a fan-like shape, in the middle-upper occipital region.
conclusionThe LON and TON distribution areas were biased to the lateral side below the superior nuchal line, although these nerves exhibited multiple interconnections or overlapping areas with the GON. Furthermore, a nerve rarified zone in the shape of an inverted triangle was identified in the middle occipital area. Our findings improve our understanding of the occipital nerve anatomy and will aid in the management of occipital pain in clinical practice.
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